Manifolding-pad.



Witnesses:

J. J. MOKAY.

MANIFOLDING PAD.

APPLIUATION FILED MAY 12, 1910.

Patented Aug. 5, 1913.

EAR F AND SESTROY AB E SLIP AFTER THE POLICY 15 WRlTTEN RATE remi m$.

COLUMBIA PLANOGRAPH co..WAsHlNu1'uN, D. c.

JOHN J. MCKAY, OF MACON, GEORGIA.

MANIFOLDING-PAD.

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Specification of Letters Patent.

Patented Au". 5,1913.

Application filed May 12, 1910. Serial No. 561,004.

To aZZ whom it may concern Be it known that 1, JOHN J. McKAY,a

citizen of the United States, residing in- Macon, county of Bibb, State of Georgia, have invented certain new and useful Improvements in Manifolding-Pads, of which the following is a specification.

Hy invent-ion relates to stationary pads and more especially to pads made up of blanks to be filled out for any purpose whatsoever.

My object is to provide a pad made up of different sheets or blanks which it is desired to fill out simultaneously, the blank lines or spaces on each corresponding to like blank lines or spaces on the others of a group or set of two or more of these different kinds of blanks, said groups or sets formingrecurring units of which the pad is composed.

A further and specific object is to provide a pad for the use of insurance or like companies whereby the policy or original document may be combined with the agents record and his daily report in such convenient form that the three blanks may be taken from the pad, inserted in a typewriter and filled out simultaneously.

With these and other objects in View my invention consists in the novel construction hereinafter described, with reference to the accompanying drawings, and more particularly pointed out in the claims.

In the drawings: Figure 1 is a perspective view of my improved pad; Fig. 2 is a side view of one of the units forming the pad showing the manner of inserting the carbon paper therein; and Fig. 8 is a top or front view of the pad, part being cut away.

In a business, such as that of an insurance company, it is imperative that absolutely correct records of every policy written should be kept in the general office, as well as in the agents office and, furthermore, it is desirable that these records should be duplicates of the data contained in the original policy. Prior to my invention, in the usual way of filling out these records separately from the original after the same has been made, the time lost was considerable and the chance of error was large. If it was desired to make the daily report and agents record so that when placed one above the other in the proper way like blank lines or spaces on each would register with those on the other forms, it was found to be very difficult and frequently impossible, when in serting them in the typewriter, to keep these blank lines or spaces registered, as they would be thrown out of place in the act of turning the platen roll in order to so insert them. The keeping of three or more differentkinds of blanks also was very inconvenient.

With reference to the accompanying drawings, wherein the same reference numerals indicate the same or corresponding parts in all the figures, the numeral 1 is an ordinary card board back used in making up pads of any sort; 2 is a cover of similar material; 3 is the binding whereby the elements of the pad are held in place between the back 1 and cover 2; 4 is the first sheet of a set, or more particularly, the policy proper; 5 is the second sheet of a set, or herein the daily report; 6 is the third member of a set or the agents record. These three sheets or blanks comprise one unit, of which any suitable number may be bound together in a pad. A line of perforations 7 extends across the pad to facilitate the removal of separate sets of sheets from the pad, while another line of perforations 8 extends across the pad to facilitate the separation of the different sheets of a set when desired, these two lines of perforations being separated by a strip of paper 9, lying between said rows of perforations said strips of each set being pasted or otherwise secured together in order that a set or unit may be removed from the pad, as a unit, with all the sheets thereof held in fixed relation.

In the business of writing insurance policies, certain data, such as the amount of premium, name of the insured, term of insurance, amount to be covered by such insurance and the description of the property so covered, etc. must appear upon the face of the policy, as shown in Fig. 3, and also duplicates of this data must be sent to the general oflice and retained by the agent writing the policy.

In the making up of the pad, the specific object of this invention, I provide the usual policy blank i with printed matter thereon and blank lines or spaces in conjunction therewith for the filling-in of the data above referred to; next, I provide a daily report for the agent to forward to the general oflice with similar printed matter and blank lines or spaces in conjunction therewith which, when placed under the policy blank will coincide exactly with the correspondino blank lines or spaces on the policy; and, lastly, I provide a third sheet or agents record which is an exact duplicate of the daily report above described. By placing these three blanks, the policy, the daily report and the agents record, one above the other in the order named so that the lines or spaces referred to will coincide with one another, fastening them ogether on the strip 9 between the two rows of perforations or indentations 7 and 8, the three blanks are combined into a complete set wherein carbon paper 10 and 11 (Fig. 2) may be inserted between the members thereof and,

, without difficulty or loss of time, the set as a whole may be placed in a typewriting machine, Where the blanks on the policy are filled out and, consequently, the corresponding blanks on the daily report and agents record simultaneously written through the carbon paper.

It will be seen that, according to my invention a pad is produced which is virtually made up of a number of independent units or sets, individually separable therefrom and each composed of a blank policy, a blank daily reportand a blank agents record, temporarily bound together for simultaneous use in a typewriting machine, and easily separable into individual sheets.

In the drawings the policy appears as a double or folded back sheet but this has no relation to the present invention as the data which must appear upon all the copies is to be written on the face or front sheet of the policy and the part 12 which is folded back under the main sheet simply contains the terms of the contract and other matter not necessary in the records.

The pad is to be used in the following manner: When it is desired to write a policy the agent takes the pad and tears therefrom, on the perforated or indented line 7 a set or unit, as shown in Fig. 2, inserts between the members thereof the carbon sheets 10 and 11 and places the whole in a typewriting machine. He then fills out the blank lines or spaces on the face of the policy with the proper data and, as these blank lines exactly register with the corresponding blank lines on the daily report and agents record, the same data is transferred thereto by the carbon paper as in the common practice in typcwriting. The sheets are held in their proper relation one to the other during this operation by the fastening means on the strip 9, preferably glue or paste, but after the required data is filled in and the set removed from the typewriter the said strip 9 is torn off on the line of perforations or indentations 8 and thrown away, leaving the three blanks 4L, 5, and 6, now fully filled out, as separate papers, ready for proper disposition. It will be understood that when I use the term perforations, I mean to include such devices as are commonly used for providing a tearing or fracture line for paper or like material.

It will be seen that by this simple construction I have provided convenient, safe and accurate means for handling and writing insurance policies not hitherto attained and greatly adding to the protection of companies doing business of this character.

I claim as my invention:

In av manifolding pad, the combination of a plurality of sets of printed form sheets each set comprising a top leaf and a plurality of underlying duplicate leaves, all of the leaves having, at one and the same end, two adjacent transverse lines of perforations thereby forming two narrow stubs, all of the outer stubs being fastened together to form a pad and all of the inner stubs of each set being fastened together, whereby a set of leaves may be removed as a unit.

In testimony whereof, I have signed my name to this specification, in the presence of two subscribing witnesses.

JOHN J. McKAY.

Witnesses Coornn D. 711m, J12, GORDON I. I-IARDEMAN.

Copies of this patent may be obtained for five cents each, by addressing the Commissioner of Patents, Washington, D. G. 

